CGA and acute illness Flashcards
1
Q
What are the components of CGA
A
Medical - problem lists + co-morbidities Psychological - mood, cognition Functional - ADL, gait, exercise Social/Environmental - social circle, safety, resources Spiritual
2
Q
Do elderly people present with “typical” symptoms
A
No, something may mask the disease resulting in delayed/wrong diagnosis
3
Q
How might sepsis present in an older patient
A
earlier drop in BP low temperature Delirium absent tachycardic response CRP and WCC may be normal
4
Q
What can dehydration lead to
A
weight loss
constipation
dizziness
5
Q
What are the 6 steps to approaching the elderly with acute illness
A
- atypical/masked symptoms
- varied pathophysiology
- varied immune response
- co-morbidities must be managed
- investigations and management to suit individual
- MEDICATION REVIEW
6
Q
What is a problem list
A
list of problems which can include non-medical causes
7
Q
What typically comprises frailty syndrome
A
falls dehydration confusion malnourishment incontinence delirium polypharmacy off legs
8
Q
what typically comprises problem lists
A
self neglect dehydration social isolation polypharmacy malnourishment
9
Q
what should be co-prescribed with morphine/co-codamol
A
laxatives
10
Q
What should be co-prescribed with steroids
A
PPI
